REQUEST TO RELINQUISH RESPONSIBLE MASTER PLUMBER 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your last name, first name, and middle initial in the designated fields.
3. Fill in your Master License Number and date of birth (DOB) accurately.
4. Provide your current address, including city, state, and zip code.
5. Enter your daytime phone number and driver's license or state-issued ID number.
6. In the section asking why you are relinquishing your designation as a Responsible Master Plumber, provide a clear explanation.
7. Review the statement regarding false information carefully before signing. Ensure all details are correct.
8. Sign and date the form where indicated. If submitting by mail, ensure it is notarized before sending.

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